Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Michelle Armour, MS, CCC-SLP
Program Lead Clinician and Speech-Language Pathologist
Northwestern Medicine Aphasia Center at Marianjoy Rehabilitation Hospital
Sarah Herron, MOT, OTR/L
Manager of Rehabilitation Services
Marianjoy Rehabilitation Hospital, part of Northwestern Medicine
Stroke remains a leading cause of disability worldwide. Accurate measurement of stroke survivors’ deficits is fundamental to provide cost effective, appropriate care. Consequently, clinicians deploy a number of measures at various stages of the care continuum to ascertain progress, set goals, communicate with other team members about client status, and to communicate clients’ progress to payers. Moreover, given stroke can affect all aspects of bodily function and abilities, multiple measurements and assessments are administered across disciplines. While abundant, stroke-specific resources are available to assist in making these decisions though many clinicians are unaware of them and uncertain of the most preferable measures to use in various clinical situations. Which measures are the most sensitive to change, and at which points across the continuum of care? Where can clinicians quickly find these measures, and discern which measures will be the “best” for the phenomena in which stakeholders are interested? To address these questions in a comprehensive, multidisciplinary manner, an all-day seminar designed to discuss the rationale, resources available, and most robust measures for outcome measurement in the areas of occupational therapy, physical therapy, speech therapy, and neuropsychology, all focused on stroke is provided. This goal is obtained with the following objectives: (a) Describe rationale for and importance of accurate measurements and assessments of the stroke patient using standardized tools; (b) Describe at least one measurement/assessment utilized in stroke recovery for the areas of cognition, speech/language, motor for the upper extremities, and motor for the lower extremities. (c) Provide two examples of outcome measurements related to community participation. As a result of attending this interdisciplinary forum, clinicians will be capable of identifying and seamlessly integrating the best measures into their clinical environments.